Organization
SAN GABRIEL VALLEY CONSULTING PATHOLOGISTS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTHUR H WILLIAM MD (PRESIDENT)
(626) 570-6597
Entity
Organization
Contact information
Practice address
438 W LAS TUNAS DR, SAN GABRIEL, CA 91776-1216
(626) 570-6597
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-8950
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0027242
—
CA
01
—
ZZZ39584Z
BLUE SHIELD GROUP ID
CA
Enumeration date
03/21/2006
Last updated
10/24/2023
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